2018 VEX EDR Robotics and Coding Program

2018 VEX EDR Robotics and Coding Program

Ground Drone Assembly & Arduino Coding
Thank you for your interest in the STEM enrichment programs presented through the partnership of S.T.E.M. Community Outreach and the Laurel-Jones County Library. To be considered for program participation, please complete all sections of the application, which includes a short answer questionnaire on back. Application submission deadline is Wednesday, January 10, 2018. Selected participants will be notified of selection on Friday, January 12, 2018, via phone and email.
All questions regarding program details and application should be emailed to stemcommunityoutreach601@gmail.com

Student Information

Student Name*

FirstMiddleLast

School*

Grade Level*

Age*

Gender*

Male

Female

Birth Date*

Ethnicity*

African American

Asian

Caucasian

Hispanic

Native American

Parent/Guardian Information

Name*

FirstLast

Gender*

Male

Female

Home Phone*

Cell Phone*

Work Phone*

Home Address*

Street AddressAddress Line 2CityZIP / Postal Code

Email*

Other Parent/Guardian (if applicable)

Name

FirstLast

Gender

Male

Female

Home Phone

Cell Phone

Work Phone

Home Address

Street AddressAddress Line 2CityZIP / Postal Code

Email

Household Info

Annual Family Income (will not be shared):*

$0-$23,550

$23,551-$74,500

$74,501 and above

Household Size*

Signatures

Student Signature*

Please print name

Date*

Parent Signature*

Please print name

Date*

Short Essay Questions

INSTRUCTIONS: The questions below are designed to give us insight about your interest in science, technology, engineering, and math (STEM). Please use the space below to answer the following questions. Answers must be written in a neat and clear manner using complete sentences.

What to do want to become when you graduate from high school? Feel free to talk about college, military, or technical school plans. Answer using at least three complete sentences.*

What do you like about science and math? Answer using at least two complete sentences.*

How can learning about science, technology, engineering, and math (STEM) make you a better student? Answer using at least two complete sentences.*

If you could invent something that would make life easier for people, what would you invent? Be sure to include the problem that your invention would solve and an explanation of how the invention would work. Feel free to include drawn pictures/diagrams.*